{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T16:01:40Z","timestamp":1779206500908,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T00:00:00Z","timestamp":1607040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recurrent pleomorphic adenoma (PA) can be a lifelong disease, and rates of subsequent recurrence are high.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients between 2000 and 2015 were identified. Primary outcome was subsequent recurrence after surgical salvage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010seven of 84 patients developed a subsequent recurrence. Risk factors for subsequent recurrence included a higher number of previous recurrences (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01), worse preoperative facial nerve function (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01), and deep parotid lesion(s) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01). Interval since last surgery was protective (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01), specifically &gt;10\u2009years since last surgery (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01). For patients with a &gt;10\u2010year interval since their last surgery, the subsequent recurrence\u2010free rate at 10\u2009years follow\u2010up was 80.2% vs 31.8%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For patients presenting with a &gt;10\u2010year interval since their last surgery, subsequent recurrence rates are low, which may allow for as needed surveillance recommendations. For patients presenting with recurrent PA and \u226410\u2009years since their last surgery, a closer surveillance is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.26570","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T15:20:31Z","timestamp":1607095231000},"page":"1088-1096","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Risk factors for subsequent recurrence after surgical treatment of recurrent pleomorphic adenoma of the parotid gland"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5442-8702","authenticated-orcid":false,"given":"Steven A.","family":"Rooker","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0513-4203","authenticated-orcid":false,"given":"Kathryn M.","family":"Van Abel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8515-2051","authenticated-orcid":false,"given":"Linda X.","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex A.","family":"Nagelschneider","sequence":"additional","affiliation":[{"name":"Department of Radiology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel L.","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerry 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